Introduction
Se, a vital trace element for mammals, has a recommended daily intake ranging from a minimum of 55 µg to a maximum of 400 µg to maintain normal metabolism.1 Se intake varies worldwide, with some regions in China experiencing both deficiencies and excesses.2–4 Both Se deficiency and excess can lead to various diseases. Insufficient Se levels can elevate the risk of infections, cancers, cardiovascular diseases, neurological conditions, and other illnesses.5 Notable diseases associated with Se deficiency Keshan disease6 and Kashin-Beck disease.7 Excessive Se consumption can result in Se poisoning, which has been documented in regions such as Enshi, China,4,8 California,9 Colorado10,11 among others in the United States.11 Symptoms of Se poisoning typically include vomiting, abdominal pain, and heart…